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J Am Coll Cardiol, 1985; 5:188-192
© 1985 by the American College of Cardiology Foundation
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Severe hypoxemia due to shunting through a patent foramen ovale: a correctable complication of right ventricular infarction

RC Bansal, RJ Marsa, D Holland, C Beehler, and PM Gold

A patient with recent inferior myocardial infarction with right ventricular involvement developed severe hypoxemia unresponsive to 100% oxygen. Contrast two-dimensional echocardiography revealed right to left shunting through an aneurysmal fossa ovalis with a patent foramen ovale. This was confirmed by cardiac catheterization. Surgical closure of the defect was probably life-saving. This case report illustrates that right to left shunting through a foramen ovale should be considered in the differential diagnosis of hypoxemia in patients presenting with inferior myocardial infarction.


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Copyright © 1985 by the American College of Cardiology Foundation.